Parvin Gozalzadeh
11604 Leehigh Drive
Fairfax, VA 22030
(703) 399-0535
Current Inspector: Pamela Sneed (804) 629-2691
Inspection Date: Aug. 16, 2022
Complaint Related: No
- Areas Reviewed:
-
?8VAC20-800 Administration
?8VAC20-800 Personnel
?8VAC20-800 Household Members
?8VAC20-800 Physical Health of Caregivers and Household members
?8VAC20-800 Caregiver Training
?8VAC20-800 Physical Equipment and Environment
?8VAC20-800 Care of Children
?8VAC20-800 Preventing the Spread of Disease
?8VAC20-800 Medication Administration
?8VAC20-800 Emergencies
?8VAC20-800 Nutrition
?8VAC20-800 Transportation
?8VAC20-800 Nighttime Care
?8VAC20-820 THE LICENSE.
?8VAC20-820 THE LICENSING PROCESS.
?8VAC20-820 HEARINGS PROCEDURES.
?8VAC20-770 Background Checks
?20 Access to minor?s records
?22.1 Background Checks Code, Carbon Monoxide
?54.1 Provider must be MAT certified to administer prescription medication.
?63.2 Child abuse and neglect
?8VAC20-790 Subsidy Program Vendor Requirements for Family Day Homes
- Technical Assistance:
-
1. Reviewed emergency drill requirements. Inspector will send drill record form.
2. Discussed documentation for annual training in situations where a training certificate is not provided.
3. Inspector will provide information list for creating a new staff record.
- Comments:
-
An unannounced monitoring inspection was conducted at 12:10pm. Observed 11 children = 30 points with the Provider + Assistant #2. Ratios and supervision were in compliance. Children were napping and reading books, while infants were being held and fed during the inspection. Lunch served today included: chicken, brown rice, corn, grapes, and ham/cheese sandwiches, milk, and water. The daycare areas of the home were well supplied with toys and equipment for the children. Questions about this inspection may be directed to pamela.sneed@doe.virginia.gov
- Violations:
-
Standard #: 8VAC20-800-780-B Description: Based on records reviewed, it was determined that 2 of 2 children?s records did not include documentation that parents had reviewed the emergency contact information for each child and signed the form acknowledging the annual review. Plan of Correction: The provider will have parents review + sign the form every year.
Standard #: 8VAC20-800-900-B Description: Based on observations made, it was determined that a child was allowed to lie down while drinking. Evidence: Child #11 ? Was observed lying in a crib while drinking from a bottle. Plan of Correction: Children will not be allowed to drink while lying down.
Standard #: 8VAC20-800-60-B Description: Based on records reviewed, it was determined that 2 of 2 children?s records did not include required information.
Evidence:
1. Child #5 ? The parent signed a blank medication policy form.
2. Child #15 ? The parents signed a blank emergency plan form, and did not sign the liability insurance form.Plan of Correction: The provider said she would complete forms before giving them to parents to sign, and will make sure parents sign all required forms.
Standard #: 8VAC20-800-70-A Description: Based on records reviewed, it was determined that 2 of 2 children?s records did not include the required information in this regulation section. Evidence: Child #5 + #15 ? Both sets of parents signed a blank ?Information for Parents? form. Plan of Correction: The provider said she would complete forms before giving them to parents to sign.
Standard #: 8VAC20-800-180-A Description: Based on records reviewed, it was determined that 3 of 3 caregivers did not obtain a TB screening every 2 years.
Evidence:
1. Provider ? TB test expired 2/7/22.
2. Assistant #1 ? TB test expired 2/5/22.
3. Assistant #2 ? TB test expired 2/7/22.
4. Updated TB tests have not been obtained.Plan of Correction: TB tests will be completed every 2 years.
Standard #: 8VAC20-800-340-C Description: Based on observations made and interviews conducted, it was determined that paper towels were not in the bathroom. Evidence: The provider said that children use a shared cloth towel for drying hands. Plan of Correction: Paper towels to be placed and used in the bathroom.
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
